Individual provider Active NPI

Yijun Guo, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Wilkes-Barre, PA
National Provider Identifier
1215924170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MD427575 Issued in PA
Practice address
N River & Auburn St
Wilkes-Barre, PA 18701
Phone
(570) 829-8111
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD427575 PA Primary

Addresses

Primary practice location

N River & Auburn St
Wilkes-Barre, PA 18701

Mailing address

PO Box 1476
Kingston, PA 18704-0476
Phone (570) 714-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000539 NJ Practitioner - Pathology 3173588027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Urology LLCGroup PAC ID 7719052596, 2 clinicians

Practice addresses (Care Compare)

16 Eden Lane
Whippany, NJ 07981-1402
Phone (973) 206-8282

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Urology LLC Clinical Pathology/Laboratory Medicine CurrentSince May 1, 2021 Accepting new patients
Hands on Home Care Inc. PastSince Jun 10, 2019 Accepting new patients
Summit Medical Group, Inc PastSince Apr 1, 2010 Accepting new patients

Locations

261 James St
Ste 1A
Morristown, NJ 07960
Phone (973) 539-0333

16 Eden Ln
Whippany, NJ 07981
Phone (973) 206-8282

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35130_gardenstateurology

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215924170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040476",
            "telephone_number": "570-714-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N RIVER & AUBURN ST",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18701",
            "telephone_number": "570-829-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "YIJUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "PA",
            "license": "MD427575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes-Barre, PA

Sources for this page

Verify at the official NPI Registry.